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LCCSF Year-End Report Form
In this report you will provide information based on the year's total amounts. Please give actual number amounts.
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Email
*
Your email
www.lccsf.org
/
lccsf@lafayettecountymo.com
/(816)654-4477
Agency Name
*
Your answer
Contract Year
*
Your answer
Who prepared this report?
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Your answer
Preparer's contact information
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Your answer
Agency's address and phone number
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Your answer
Email address
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Your answer
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